Provider Demographics
NPI:1487499729
Name:JONES, AYANA ANDEA
Entity type:Individual
Prefix:
First Name:AYANA
Middle Name:ANDEA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 DEKALB PIKE APT 107
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1829
Mailing Address - Country:US
Mailing Address - Phone:267-978-8970
Mailing Address - Fax:
Practice Address - Street 1:2615 DEKALB PIKE APT 107
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1829
Practice Address - Country:US
Practice Address - Phone:267-978-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0246831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical